Grand Primary Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRAND PRIMARY CARE PC

Practice address

3550 Fairlanes Ave SW Ste a
Grandville, MI 49418-1572

Phone

(616) 333-5913

NPI assigned

May 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Rose-Meyer Smith, PA-CNPI 1245628098

Title

Owner, Ceo

Phone

(616) 970-5282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Rose-Meyer Smith, P.A.

  • Physician Assistant
  • Big Rapids, MI
  • NPI 1245628098
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1780475475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES AVE SW STE A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181572",
            "telephone_number": "616-333-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES AVE SW STE A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181572",
            "telephone_number": "616-333-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ROSE-MEYER",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "616-970-5282",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Grandville, MI
• Providers in Grandville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.